Individual provider Active NPI

Sandra Carrell Tremblay, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1346348620
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4067 Issued in TX
Practice address
4501 McCullough Ave
Suite 107
San Antonio, TX 78212-1660
Phone
(210) 828-9211
Fax
(210) 828-9212
NPI assigned
Sep 20, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4067 TX Primary

Addresses

Primary practice location

4501 McCullough Ave
Suite 107
San Antonio, TX 78212-1660

Mailing address

4501 McCullough Ave
Suite 107
San Antonio, TX 78212-1660
Phone (210) 828-9211

Other names 1

  • Dr. Sandra Jean Carrell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4067TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KT Health Management Service LLC Chiropractor CurrentSince Mar 19, 2023 Accepting new patients
Alamo Heights Chiropractic Health Center Chiropractor PastSince Jun 2, 2011 Accepting new patients

Locations

4501 McCullough Ave
Ste 107
San Antonio, TX 78212
Phone (210) 828-9211

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1346348620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MCCULLOUGH AVE",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121660",
            "telephone_number": "210-828-9211",
            "fax_number": "210-828-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MCCULLOUGH AVE",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121660",
            "telephone_number": "210-828-9211",
            "fax_number": "210-828-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "SANDRA",
        "middle_name": "CARRELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "CARRELL",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.